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Home My WebLink About10196832 - Permit (2)q Project Address: 406 E Bishop St Assessor'sParcel: 011-091-02 Lot: 2 Unill Bldg: Address Range:Suite Range: Zoning: R1Blockr NA Tract: 532 Historic: No City of Santa Ana 20 Civic Center Plaza (M-19) Santa Ana, CAZ27O2 Building Permit Counter: (714\ 647-5800 lnspection Requests: (714) 667-2738 lnspector Sectaon: (714) 647-5853 Permit #: tO196832 Pin #: 379{6 Single Family Dwelling Reroof Re-roof SFD w/det Garage R.3, U VB cBc 2016 x-0602320276J 1st FL Area: 2nd FL Area: Other Areas: Garage Area: Total: : i, : Patio: T.l.Area: Yards Req'd: Valuation: $3,000.00 Occupancy: Constr Type Code: Flood Zone: # of Stories: Doscription of Work: Tear off existing roof material and install new comp shingle roof material file. Handout given. Replace sheathing as needed. Owner-Builder form on t,:pt,+:r:r::iirU!96 -Ir(lnsfl,:t ion lot(11 planning Conditions: Replace sheathing, eaves, and fascia boards as needed. New comp shingles to match oxisting color Ownerl Address; Phone: Tenant: Saul Estrada 406 E. Bishop Santa Ana, CA 92701 (9sr) 570-8847 Engineer Address f:ur.ldtn9 1 11 1 161-u:r'l i,,nr.,r'cr I Iirll16ut7 l. lde 5t.d1 r t 116r.lr-1tl i-c.lr 'ilflr'i9il .:; i 6u I {r r:r- on L,pdote lee :;160rlrj[|l- ;.:Pvol v ins i r 61 ?r [-u- Architect / Oesigner: Address: Phone: License # Phone: License #: Planning Approval By: Guevara, Jerry Plan Checked By: Permit lssued By: Chavez, Dave NPDES lnsp. Req'd: No 3 L-/ Dale: OEl21l2O18 Dale: Dale: OG12112018 Subject to Fieldl NIisc. Receipt NIisc. Receipt lvlisc. Receipt $308 52 $1.00 $2',1.25 $52.98 PWA lnsp. Req'd: No Fire lnsp. Req'd: No Planning lnsp. Req'd: No Police lnsp. Req'd: No Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No Every pemitissued shall become invalid unless the wo*on the site aulhoized by such pemit is commonced within 180 days aflet ils issuance,or tf the wo* authodzed on the site by such permit is suspended or abandoned fot a period of 180 daysafter the time tho wo* is commenced lnspector MID#: 2018-144172 Account#Total 011 16002 51600 01 1 16002 51601 01 1 16002 51612 $21.25 $361 .50 $1.00 Fee Total: Paid to Date: Balance Due $383 75 $0 00 $383.75 Building Use: Job Type: Nature of Work: Existing Bldg. & Use: Proposed Use: 6/21/')tttg lt )6 $li1.l. Contractor: Owner-Builder Address: Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier: Policy #: Expires: 07776002 51601 Permit Fee 07776002 57672 Bldg. Stds. Revolving 07776002 57600 Genetal Plan Update 07116002 51601 lssuance BUILDING- INSPECTOR RECORD SITE-WORK DATE ID/SIG.COMMENTS OWNER AUILDF]R DILCAiA ION I hcichy rfiirnr u cr pcDrlry {,r pcrjrry rhar I a cxcnDr rtu rhc cnntrlon l,icensc ks n, rh. roll.qin8 rcdsnl (Scc.?0:r1.5 Bu\ircs\ rfrl Prolcsion (od.) Any Ciry or Con y which r.quirc! ! IFmir t, .onnru.r. rltcr. implovc. dcnxrli\h or kprn inv n.rurc. |,iorrr irs issu.rcc. llso rcqtrircs rhe apfli.rnr forskh Fnnir ro lilca siSncd (arcmcnr rhd hc or shc is li.cnscd Punurtrl t, ihc ,ruvisbns or rhc (:tn n.ttr s l-iccncn ljrv lchanrcr ,. Comnrncnr! wirh Sccti,'n 70(x) ot Divnion :l or(|t Busnr{,n PftnassnnrsCodc)orlhalhco,\hci\crcnflrh(crronandrhcru{i\,'orlhc.llc-qedcxcnrPrbn Anrvn'hri.nofSccrionT0.rr5by{ny rppli.{nt lnr aJ^rnrirsubjc.h rhc lpplilrnr t, d.rvrlp.mlryoln.r moidhrn fivc hundrcddoll&s (s50o). -l.x\o*ndofrhcpioNny.,trnrycnrnl,lBswilhwisc\oslhcirvrc.ompcn\dnnr.wrlldolhcworklndlhcn rur.isnor noMd.roflarcdforslclS(.7(!,{.Busincrsmdftofcs\idNci)dcrThcGrntractnrl,iccn{lxqll)csnd{Pnlylo!tro$ncrof ihc pR,tfny qlr) hildsor irnpn)E\ rlEsr. !frjwhrr Jms \u.h ktrk hinrclf.. h.tscll orrhrn'ghlris or hcr oro cn'nloyc$. lrovidcd rhrrsuch i'lpnrrmnr\md id.ndLld or.liarcd lorsh ll. ho$c\cr. tlktrildinS.t irntovcrEd t $ki wirhi'r uir ,{ir or.onlt)lcri,n. rhc otrmr Buihc. sill hlvc rhc hurd.n otF,vin! rhd h- Dr\hc did m tlild or i'irpn)vc rh. pmFny for Ih. PurII,$ or I. sovtrcr.irhcnmnc.ry. trnrcx.lu\ilclyconrncrins sirh li.cns.d cofkn trs tr, dn,{ncr rh. Ptuicd (Scc 70n4. Btrsnc$ !'d lJDlisbnCod.:'rhcConkNkr-sLiccnscL.\_ocsnorit)plyt)an.\nd.fl)lol. ywh. buildsor imPrcrc\ rhcrcotr. id uho coftncrsIor ruch,nojccrswirhr Ctnntu(tr(n ll.crNcd lurunl lo rhe Contmttr s Li.cnsc hw) l nN.r utr(l.i S..ri, n,,t"o(- 2t' /t DECI,ISAIAN I hcrchy ain( ondcr !. lryorFrjLtryotrcofihcl.ln,$i 3ncchrrliux Ihnvr dwillruirlrinaCcrliljcnrcolCon\cnrk,Sclflr\trcft w.rkcrs comDcndn,n. rs l,n,vid.d r(x h) Sc(i{nr:17(x)olrh. Lahr Codc. tor rhc p.rromrn.. ulrtu ruk tn shich lhc pcrnrir is i\\urd Ihrvcrndwill rn air workcrr' conrcnsriior i'rumncc. r\ tuqtrircd btSL\lion:l7ll()oirhc liborCod.,luric Pcrti)nnrD.c of rh. s.rl tur whi.hrhir Nirnir is tsuen My ff*er' snrncnsrrn,n nrurdkc .rnicr .nd p.lky nun,l,.r rr: ('rri.r: |i,li.t Nun$ci I()rLlrxll!:u0NrENDAli-trcEl(I , hcrhy amm undcr rEntrhrofpcrjury rhdr rhcrc s a conslfl.tion lendinE,gcn.y rd th. Pcriornuncc otrhc sork ior shi.h lhis Pcrnrn n i\ucd (Sc.. 1097. Civ. C ) l.ndcis Ad&.\r: AIILISANLI)I'CIASAIION lrxnh) a,l-rnn undcr pcnslr, or,,crjury om oilhc lollorvirB dcclMrion\: Dcnnrlirion Pcnnirs A\t{sros Norifi..ridr lr.dfidlR.Sulnrion\ (lirlc 40, I,Im6) S64"q","a r"',", "r ru'n.,i"" SEit,",rtt 'r,,,tr," *a-,t,.sxL"on\ rcsrd,n8 d,hcn.. rc,ru\ar . { ,n!'r*rhr. ro rhh pmirt. lSEF,-r,, '*,,*'.,-o,n6 0nnrrariotr and ndc rhrhhc atnlc inrdnrion k.oEccr. I aE c ro conery wirh arr cit,lnd counry dlli'r r.\ r srrr. l rtr\,rlnrii! !i btr l(l n!.f rnnkr, i. rrl h.rcprcscnl!rivc\ ollhh Cirr rnd C:ounrylo cnlct tFrnrhc 0h,rc nrtrrnnrcd nro|rcdy br insn$ri.n purFscs "",."xx-5zr/ A>;ae4 *,", rQ(1V49 Set Backs Forms/Steel/Holdowns UFER Ground SLAB Floor S u bf loor/Ve nV lnsu lation Roof Sheathinq Shear Wall Framinq lnsu lation/Eneroy Drywall Ext./lnt. Lath Brown Coat Ivlasonry Pool Fence T-Bar Handicap Req Deputy Final Report Enoineer Final Report Flood Zone Cerlif FINAL tl n lrn .1A.tol* I6 Certificate ol Occupancy Notes, Remarks, Etc. \2'-v'' --, Erection Pads rvu,n fiWlhwl)' -l ccnify rhri in rhc pcrLrnrm. oirhc sork l'or vhth rhn,rcrmil k trucd. I \h.ll nor cnlloy lny Perv,n in any nrnrcr $asrob..o'reubj.cltolhcwo.kcn'comnensarionhw\orctrlir(rnin.,l4eli il I rhould h..orR rubj.rt tornc *.rk.( .onlpcnqh.n pmvisions oI S(rion l7rx) or rhc titr r c.dc. I sh.ll- fonnNirt s'nply Rirh rbsc lmvisions WARNINC: FnihE ro {.uft wdr.n .oDlEtrsrlio. n'rcr{sc is unh*rul. nnd \hrll suhj.u m cmPlotcr b GimirJl lEnrhts und ciil incs rp ro or hondr.d rh.us,nd dollds (S,uj.url))- in lddirion tJ rlt c.s olcomDcn\arioo. drturcls Providcil lor rhc Sccli.,tr.r','hollFc I Jhr G{.. tr cF{ d rkrrcy'\ lccs -&- t,,... 06-21 - /g no,n,,./_ .-r;% LTtENsF D ( oNTIIAcrr rR DECI.AEA.IION I hcrcby.flno utrdcr Fnolry of p.rjurr rh,r I s'n li$rc]l tM.r Fn'vhtn' ofCh,prcr 9lc.n'ftn.irg wirI Sc.lion Tooo) orDiviriotr I of rhc Busin.s md Pmlasiors Codc. md myliccnse i\ in lullr.r.cDdcffccl. f-------T------ MAYOR MiguelA. Pulido MAYOR PRO TEM Michele Martinez COUNCILMEMBERS P. David Benavides Vicente Sarmiento Jose Solorio SalTinajero Juan Villegas ACTING CITY MANAGER Gerardo Mouet CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL N4aria D. Huizar CITY OF SANTA ANA PLANNING & BUILDINC AGENCY 20 Civic Center Plaza P.O. Box I 988 . Santa Ana. Califo.n\a 92702 www.santa-ana.org / pba NOTICE TO PROPERW OWNER Dear Property Owner: An application for a building perqit has been submllted in your name listing yourself as the builder of the property improvements specified " SdU/ /l DOl, moulido@sanla-ana.o.o Mayor Pro Tem, ward 2 mi6arl nezlasa.la-ana oro i!ilcgss@!!!1a.!!a.9r9 stinaiero@sanla-a.a oro We are providing you with an Owner-Builder Acknowledoment and lnformation Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your names as the Owner-Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. S!L 't. I understand a frequent practice of unticensed persons is to have the prope(y owner obtain an "Owner-Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. l, as an Owner-Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. SEL , I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. /'E D>t- u 3. I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may fiEtect myself from potential financial risk by hiring a licensed Coniractor and having the permit filed in his or her name instead of my own. gFBo I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. 9â‚¬4r. I understand if I employ or otherwise engage any persons, other than California licensed contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. Sâ‚¬L U I understand if I am considered an "employer" under state and Federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation of each 'employee." I also understand my failure to abide by these laws may subject me to serious financial risk. Sâ‚¬B ,. I understand under California Contractors' State License Law, an Owner-Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless a//work is performed by SANTA ANA CITY COUNCIL vsamenro@santa-anaoro 60lorio@sanla-ana.oro dbenavdes@sanlaa.a.oro licensed subcontractors and the number of structures does not exceed four within any calendar years, or all of the work is performed under contract with a licensed general building Contractor. at:/2:-28. lunderstand as an Owner-Builder if lsell the property for which this permit is issued, I may be held liable for any fi-nancial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in ths workmanship or materials. @n I understand I may obtain more information regarding my obligations as an "employer" from the lnternal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of lndustrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321 -CSLB (2752) or www.cslb.ca.oov for more information about licensed contractors. SEL rc.| am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the party legall and financial S ns ible "y osed nstructio activitv at the folnd CA lo 70/address o6-E-o (EB tt I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner-Builders as well as employers. SEL n.l agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. lf you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. lt is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. lf you obtain a permit as Owner-Builder and wish to hire Contactors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. /Vote.' A copv of the propertu owner's driver's license, form notarization, or other verification acceptable to the ad en cv ,s reo u ired to be Dresented when the Dermit is issued fo verifv the propertv owner's siqnature. Signature of Property Owner Date o6-2/-le Printnameorowner Sau/ IS Vra/a AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner-Builder Permit for my project. Scope of Construction Project (or Description of Work) Name of Authorized Agent Address of Authorized Agent I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Property Owner's Signature Date Print Name of Owner: Note: A copy of the owner's driver's license, form nolarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the propefty owner's signature. p,,r-: ,t..-:,.,i..,:.1.-'-r.:i ,: :. :.1,.1 SANTA ANA CITY COUNCTL moulldo@santa-ana oro Mayor Pro Tem. ward 2 m marl nez@sa.ta.a.a oro Vrcente Sarfiienlo vsamief, lo@sanla-anz.oro i!ql94e@!!!Ei!e.9!s P David Benavides dbenardes@santa-ana or0 N ecas@sa.ta'a.a ora sl naiero@sa.la a.a oro Project Location or Address: _ Phone Number of Authorized Agent: _